MARISA DENISE LYNN (NPI# 1639633423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639633423 |
| Entity Type | Individual |
| Full Name | MARISA DENISE LYNN |
| Practice Address |
2325 S Harvard Ave Tulsa OK 74114-3300 |
| Practice Telephone | 9185879471 |
| Mailing Telephone | 9189916134 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6333 E Skelly Dr, Tulsa, OK 741356106 | 9186644224 |
| Street Address |
2325 S HARVARD AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74114-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386608545 | David M Collins | Chiropractor | 2325 S Harvard Ave, Suite 108, Tulsa, OK 74114-3300 | 2006-04-14 |
| 1427659739 | Rashmi Singh | Counselor | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-11-03 |
| 1003414145 | Kelsey Leigh Brittingham | Registered Nurse | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-10-12 |
| 1548868839 | Shawnee Fawn Flores-bernal | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-10-09 |
| 1285241539 | Shannon Renae Lucas | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-09-29 |
| 1427664838 | Hannah Schemmer | Social Worker | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-09-21 |
| 1467068346 | Daron Wright | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-09-16 |
| 1508470717 | Melody Yvonne Gill | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-09-04 |
| 1023621141 | Megan Tumy | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-08-28 |
| 1700497799 | Danielle Rae King | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865307 | Helen Marie Collier | Registered Nurse | 2325 S. Harvard Avenue, Tulsa, OK 74114 | 2017-08-01 |
| 1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
| 1093177925 | Ana Achlosser | Counselor | 2120 S Jamestown Ave, Tulsa, OK 74114 | 2016-03-21 |
| 1437558277 | Nicole Holzkamper | Case Manager/Care Coordinator | 2525 S Harvard Ave, Tulsa, OK 74114 | 2014-08-18 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1598001414 | Zachary Paschall | Counselor | 2325 S Havard Ave, Tulsa, OK 74114 | 2012-12-20 |
| 1346511334 | Chelsea Lee Joslin | Counselor | 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 | 2012-01-23 |
| 1073893210 | Elizabeth C Canfield | Speech-Language Pathologist | 1929 South 74th East Avenue, Tulsa, OK 74114 | 2011-08-19 |
| 1508185430 | Karly Lynn Mason | Social Worker | 2140 S. Harvard, Tulsa, OK 74114 | 2010-05-17 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| Find all providers in zip 74114 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1275131823 | Deena June Patrick | Peer Specialist | 2536 N Boston Ave, Tulsa, OK 74106-3609 | 2020-10-15 |
| 1760098248 | Eddie L Rodriguez | Peer Specialist | 3821 S Rolling Oaks Dr, Tulsa, OK 74107-4872 | 2020-09-20 |
| 1316553100 | Amber Ponder | Peer Specialist | 7802 W 7th St, Tulsa, OK 74127-5524 | 2020-09-17 |
| 1699380089 | Sunny Shirene Cooper | Peer Specialist | 9933 E 61st St, Tulsa, OK 74133-1504 | 2020-09-11 |
| 1669099875 | Denise Lyn Ely | Peer Specialist | 12 E 12th St, Tulsa, OK 74119-2803 | 2020-07-03 |
| 1831715945 | Kyndell Leigh Mcelwee | Peer Specialist | 5043 S 76th East Ave Apt B, Tulsa, OK 74145-6219 | 2020-06-24 |
| 1548886088 | Dana Kai Stevens | Peer Specialist | 2027 E 12th Pl, Tulsa, OK 74104-4201 | 2020-06-21 |
| 1932723251 | Andrew Jacob Sargent | Peer Specialist | 321 S Frankfort Ave, Tulsa, OK 74120-2428 | 2020-06-02 |
| 1114549656 | Jonathan Michael Holbrook | Peer Specialist | 6963 E 15th Pl Apt 239, Tulsa, OK 74112-7410 | 2020-05-06 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.